Individual provider · Type 1 NPI

Mya Dominique Lemons, BS, QMHP-T

Community/Behavioral Health Agency · Allston, MA

NPI number 1245057413 Active

Practice location

14 Fordham Rd
Allston, MA 02134-3000

Mailing address

23 Kennedy Dr
Randolph, MA 02368-3821

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0734011681 (VA)
Community/Behavioral Health Agency Primary 251S00000X0734011681 (VA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1245057413

Mya Dominique Lemons, BS, QMHP-T's National Provider Identifier is 1245057413, issued on Sep 20, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Allston, MA. The record was last updated on Sep 20, 2024.